How can you limit bruising with Botox and cosmetic fillers?

How can you limit bruising with Botox and cosmetic fillers?

by | Jul 7, 2022 | Botox, Fillers, Injectables, Skincare

How can you limit bruising with Botox and cosmetic fillers?

Let me start by saying that even the best injectors in the country can give a patient a bruise with any of the cosmetic injectables. Sometimes these things just happen! The good news is that they tend to not be a big problem and let’s see if I can teach you a few tricks to help as much as possible.

The first thing to keep in mind is when you schedule your procedure, make sure you don’t have any important work or social events for about a week just to be safe.  If you bruise easily, you may need to plan for up to 2 weeks to completely heal. If your event is something more important, like a wedding or a reunion, I would recommend having fillers done at least 3 weeks before the big day.

What exactly is a bruise?

The bruises we are focusing on here occur as a result of traumatic injury with a sharp needle to the blood vessels near the surface of your skin.  Once the blood vessel wall is broken, the blood leaks to the surface and pools within the tissue there. As the blood sits, it becomes darker in color and can be seen under the skin as a black and blue discoloration.  In order for the bruise to resolve, the blood needs to be absorbed back into your body.

What can you do ahead of time to try to avoid getting a bruise?

Here are some things that you can actively do to help:

  • Apply and/or take orally (it dissolves under your tongue) homeopathic Arnica Montana for 2 days prior to your appointment.  You can find Arnica Montana at some pharmacies and natural food groceries (like Whole Foods, Vitamin Cottage and Natural Grocers).  Make sure to read the label and follow the instructions on the bottle or tube (if it is a gel).
  • Try eating pineapple 2-3 times a day for 2 days prior to injections.  Or take bromelain (a pineapple-based enzyme). But keep in mind with this, the evidence of helping is only anecdotal!  So if you don’t like pineapple, don’t worry about it.

Here are some oral medications, vitamins and supplements to AVOID for at least 10 days prior to your procedure:
Some of these medications and supplements may be needed for medical reasons, so check with your doctor first.  The reason to stop these is that they make your blood less likely to clot, which makes bruising more likely. If you are on warfarin (Coumadin) or Plavix, stay on it unless you get the okay from your doctor to discontinue.

So these are the biggies to AVOID:

Over-the-Counter Medications:

  • Aspirin
  • Ibuprofen (Advil, Motrin)
  • Naproxen Sodium (Aleve)
  • Midol, Excedrin, and some cold medicines (check the label for the above listed ingredients)

Vitamins/Supplements:

If you need something for pain it is no problem to take Tylenol (acetaminophen).

Another thing to avoid is drinking alcohol 1-2 days prior to your procedure.  Alcohol is a vasodilator, so drinking can increase your chances of bruising.

Oops…You bruised.  Now what?

Your bruise will last about 5-10 days and rarely longer.

How can I help my bruise go away more quickly?

  • Avoid drinking alcohol 24 hours after having your injections done.
  • None of the over-the-counter medicines, vitamins or supplements listed previously for 2 days post procedure.
  • Icing or cold compresses for 5-10 minutes every hour.
  • Arnica Montana orally and/or topically for 4 days
  • topical vitamin K cream can be applied to speed resolution.  We carry Auriderm (vitamin K cream) in our office for convenience.

I frequently do an IPL treatment on the bruise for patients 1 to 2 days after your procedure.  This is quick and easily done in about a 10 minute appointment in the office. If you are interested in this, just book it the day you are in for Botox or filler or call the office if you realize after your procedure that you may benefit from this.

Can I cover the bruise?

Sure!  This can be difficult at times, but some concealer can come in handy to hide those dark bruises. I have been told that one good technique is to put very thin layer of concealer on, then use a light layer of powder over to set it.  You can repeat it two to three times to build up more coverage. The last layer should be powder – but be careful so that it doesn’t look too cakey. If the bruise is on your lip, then lipstick should do the trick.

Good luck and know that a bruise is not harmful, it just can be an unsightly inconvenience for a while!

Safe and Chemical-Free Skin Care: How to Avoid Harmful Ingredients.

Safe and Chemical-Free Skin Care: How to Avoid Harmful Ingredients.

by | Jul 7, 2022 | Chemicals, Skin Care Products, Skincare

Safe and Chemical-Free Skin Care: How to Avoid Harmful Ingredients.

DO YOU KNOW WHAT YOU ARE PUTTING ON YOUR SKIN?

 

I have been guilty of running through a store and quickly grabbing a product with a fancy label and promises to fight wrinkles or make your skin glow.  But what is in this random product?

What goes on your skin does seep beyond the skin’s surface.  Wouldn’t it be nice to know that what you are using is not only good for your skin but safe for your whole body?

HOW COULD HARMFUL CHEMICALS BE ALLOWED IN SKIN CARE PRODUCTS?

Believe it or not, the skin care industry is highly unregulated. A minuscule approval process with the FDA exists, but only for color additives and ingredients classified as over-the-counter drugs.  This means that unhealthy and irritating chemicals could be in the products you are using right now.

 

WHAT INGREDIENTS SHOULD YOU AVOID?

HERE ARE THE TOP 8 CHEMICALS TO AVOID:

PARABENS:

Parabens can be harmful for the skin

WHAT ARE PARABENS?

These are preservatives added to prevent the growth of bacteria, mold, and yeast.  Ultimately, they are used to prolong the shelf-life of a product. Researchers have found that 85%-90% of personal care items (such as toothpaste, shampoos, lotions, and cleansers) contain measurable amounts of parabens.

WHY SHOULD YOU AVOID PARABENS?

They have estrogen-mimicking properties that have been linked to endocrine disruption and the growth of breast cancer cells.  It was reported in a 2004 research study  that parabens were actually found in breast cancer tumors.  The big concern is that cumulative exposure to parabens may contribute to developmental disorders, fertility problems, and possibly breast cancer.

WHAT IS THE FDA’S TAKE ON THIS?

The FDA acknowledges that several studies have linked parabens to breast cancer but has ruled parabens as not harmful. One interesting side note is that the European Union banned parabens in 2012 but then approved use in 2014 in limited amounts in products that rinse off (like shampoos and shower gels).

HOW DO YOU MAKE SURE YOU’RE NOT USING PARABENS?

Look for “paraben free” on the label.  Another way is to avoid ingredients that end with the suffix “-paraben.”  These are words like: methylparaben, ethylparaben, propylparaben, butylparaben, and isobutylparaben.

SYNTHETIC/ARTIFICIAL COLORS:

Bars of soap and effects on your skin

HOW DO YOU KNOW IF A COLOR IS SYNTHETIC?

If you take a look at your product label and notice FD&C or D&C followed by a color and a number, they represent artificial colors.

WHY AVOID THESE SYNTHETIC COLORS?

Many of these synthetic colors are derived from coal tar sources. Coal tar is a mixture of many chemicals, derived from petroleum.  Coal tar is recognized as a human carcinogen and the main concern with coal tar colors is their potential to cause cancer.  Additionally, coal tar can contain traces of heavy metal salts that can cause skin sensitivity and irritation.  Synthetic colors are suspected to be a human carcinogen and a skin irritant.

WHAT DOES THE FDA SAY ABOUT THIS?

Federal Food, Drug, and Cosmetic Act indicates some colors approved by the FDA for use in foods, drugs, and cosmetics. One example is colors labeled D and C are not approved for use in food (just drugs and cosmetics).  If they are too harmful to eat, do we really want to put these products on our skin?

HOW DO I AVOID SYNTHETIC COLORS?

Thankfully, it’s pretty simple to determine if those bright colors we love are real or not.  Just check the label, and steer clear if any of the ingredients begin with a number or the letters D&C.

ARTIFICIAL FRAGRANCE:

Problems with perfumes on your skin

HOW DO I KNOW IF A FRAGRANCE IS ARTIFICIAL?

Fragrance mixtures can be composed of dozens, even hundreds of individual chemicals which don’t have to be listed on the label.  If you see the word “fragrance” or “parfum” listed on the ingredients list, it is likely that it is artificial.

WHY AVOID THEM?

The idea of artificial fragrance is pretty scary, because what does “fragrance” mean anyway?  This term was created by the FDA to protect the product’s “secret fragrance formula.”  But you could be putting on a concoction that contains tons of chemicals that are irritants and hazardous to your health. Somewhere close to 3000 chemicals are used in fragrances.  According to the Environmental Working Group (EWG), fragrance mixes have been associated with allergies, dermatitis, and potential effects on the reproductive system.

According to the American Academy of Dermatology (AAD), fragrance is the number one cause of contact dermatitis in cosmetic products and its prevalence is on the rise.

Additionally, some studies have shown that synthetic musks can build up in our bodies and may enhance the impact of other toxic chemicals.  These synthetic musks also contaminate waterways and wildlife.  Phthalates, which have been linked to hormone disruption (see Phthalates below), have also been found in synthetic fragrance.

WHAT DOES THE FDA THINK?

It’s interesting to note that every other ingredient used in personal care products must, as stated by the FDA, be listed on the label, but fragrance is considered a “trade secret” and is not required to be listed.

“FDA does not have the same legal authority to require allergen labeling for cosmetics as for food.  So, if you are concerned about fragrance sensitivities, you may want to … contact the manufacturer directly,” according to the FDA.

HOW DO YOU AVOID ARTIFICIAL FRAGRANCE IN MY PRODUCTS?

The best fragrances are found in essential oils and natural botanicals.  If “fragrance” or “parfum” is listed on the label, put it back on the shelf.  Or simply look for “fragrance-free” on the label.

TRICLOSAN:

Blog about harmful Chemicals

What is Triclosan?

Triclosan was all the rage as antibacterial products started coming out in the 1990s.  It is a synthetic preservative and antibacterial agent that can be found in toothpastes, antiperspirants/deodorants, laundry detergent, facial tissues, hand sanitizers, and antibacterial soaps.  Triclosan is best known for its germ-killing power. The most likely place you will see it is in hand soaps and body washes that are labeled “anti-bacterial”.

But make sure to check your toothpaste too. The FDA approved it after reviewing data showing that it prevents gum disease.

WHY AVOID TRICLOSAN?

The Environmental Protection Agency (EPA) actually labels it as a pesticide!  If that isn’t enough to convince you to stop using products with triclosan, know that not all bacteria is bad for you and triclosan works so well as an antibacterial agent that it could give rise to harmful bacteria that is resistant to antibiotics.  In fact, studies have shown that washing with antibacterial soaps containing triclosan doesn’t provide any benefit over washing with regular soap and water.

And children exposed to these compounds at an early age also have an increased chance of developing allergies, asthma, and eczema.

The European Union classifies triclosan as irritating to the skin and eyes, and as very toxic to aquatic organisms.  So not only is triclosan bad for you, it’s terrible for the environment.

WHAT DOES THE FDA THINK?

Even the FDA agrees that there is “no health benefit to humans” to use triclosan.  But if used, triclosan must be listed on the product label.

HOW DO I AVOID TRICLOSAN?

If you are using an antibacterial agent, triclosan should be listed as an ingredient on the label.

Put your inner germaphobe at ease and know that water and regular soap will more than handle dirt and germs.  Instead of looking for antibacterial products, reach for naturally antibacterial and antiseptic agents like tea tree oil.

SULFATES:

Importance of hand washing

SODIUM LAURYL SULFATE (SLS) / SODIUM LAURETH SULFATE (SLE)

 

WHERE DO I FIND SLS AND SLES AND WHAT IS IT?

Sodium Lauryl Sulfate (SLS) and Ammonium Lauryl Sulfate (ALS) are surfactants that can be found in more than 90 percent of personal care and cleaning products.  These sulfates are what make shampoos, shower gels, and facial cleansers have bubbles and foam.

WHY AVOID SLS AND SLES?

Sulfates are known to be skin, lung, and eye irritants.  In addition, sulfates can dry out your hair and skin, resulting in split-ends, brittle hair, and maybe even itching.  Despite a lot of internet chat about these surfactants being carcinogenic, there is not much concrete evidence to support this.

The only other factor to know is that these sulfates do not degrade easily, so are pollutants and are not the best for the environment.

WHAT DOES THE FDA THINK?

Not much.  Just that the sulfates must be listed on the product label.

HOW DO I AVOID SLS AND SLES?

Look for “no sulfates” on the product or check the ingredients list for Sodium Lauryl Sulfate (SLS) and Ammonium Lauryl Sulfate (ALS).  Sulfates are especially common in shampoos.

FORMALDEHYDE:

formaldehyde effects on the skin

Where do I find formaldehyde and what is it?

If you have ever dissected a frog in biology class, you know that formaldehyde smells terrible and is used as a preservative. Formaldehyde and formaldehyde-releasing preservatives (FRPs) are used in some skin care products to help prevent bacteria growth.  These can be found in nail polish, body washes, conditioners, shampoos, facial cleansers, and some eye shadows. According to data from the FDA, nearly 1 in 5 cosmetic products contains a substance that generates formaldehyde.

WHY IS FORMALDEHYDE SOMETHING TO AVOID?

The FDA and EPA have classified formaldehyde as carcinogenic when its fumes are inhaled.  It is also a potent skin sensitizer and allergen that can result in red irritated skin.

Of course, skin care companies don’t dump pure formaldehyde into their products. Instead, they commonly use something called “formaldehyde releasers.”  These chemicals decompose over time to form formaldehyde. This process happens slowly as the products sit on the shelf of the store or your bathroom countertop.

WHAT DOES THE FDA THINK?

The FDA does not restrict the amount of formaldehyde that can be present in cosmetics sold in the U.S.  But any formaldehyde or formaldehyde-releasers must be printed on the label.

HOW DO I AVOID FORMALDEHYDE?

Check the label carefully, both for the ingredient formaldehyde itself and for these common formaldehyde releasers:

  • DMDM hydantoin
  • Imidazolidinyl urea
  • Diazolidinyl urea
  • Quaternium-15
  • Bronopol (2-bromo-2-nitropropane-1,3-diol )
  • 5-Bromo-5-nitro-1,3-dioxane
  • Hydroxymethylglycinate

PHTHALATES

harmful chemicals on the skin

WHAT IS A PHTHALATE?

Phthalates are industrial “plasticizers” that are used in skin care products to dissolve and coalesce ingredients, and to impart flexibility to nail polish after it dries.  The main phthalates in personal care products are dibutyl phthalate in nail polish, diethyl phthalate in perfumes and lotions, and dimethyl phthalate in hair spray.

WHY SHOULD I AVOID PHTHALATES?

Phthalates are not inert substances: They have biological activity.  In animal studies, both phthalates and parabens were found to act on estrogen pathways, which in humans have been associated with chronic diseases, cancers, and a host of developmental disorders and fertility problems.  It has been stated by experts who have reviewed the literature that phthalates pose significant potential health concerns to humans.

WHAT DOES THE FDA HAVE TO SAY?

The FDA feels that phthalates do not pose known risks for human health as it is currently used in cosmetics and fragrances.

But they do admit that “It’s not clear what effect, if any, phthalates have on human health.”

What the CDC has to say:  “Human health effects from exposure to low levels of phthalates are unknown. Some types of phthalates have affected the reproductive system of laboratory animals. More research is needed to assess the human health effects of exposure to phthalates.”

HOW DO I AVOID PHTHALATES?

Phthalates are required to be listed on the product label … unless they are one of the ingredients in a fragrance.  Ingredients used in fragrances are considered “trade secrets” by the FDA and are exempt from labelling requirements. Industry sources have indicated that phthalates do not appear on the vast majority of products containing them because they are components of fragrance. This gives consumers little power to avoid phthalates in their purchases of personal care products.

If a product’s label says phthalate-free, that provides clarity. Otherwise, there’s no way to be sure.  Bummer.

DEA (DIETHANOLAMINE) AND DEA-RELATED INGREDIENTS:

Could Harmful Chemicals Be in Your Skin Care Products?

TEA (Triethanolamine) and MEA (Monoethanolamine) are DEA-Related Compounds

What exactly is DEA and related ingredients??

DEA (diethanolamine) and DEA compounds are used to make skin care products creamy or sudsy.  DEA also acts as a pH adjuster, counteracting the acidity of other ingredients. DEA is found in all kinds of moisturizers, sunscreens, soaps, cleansers, and shampoos.

WHY AVOID DEA IN YOUR SKIN CARE PRODUCTS?

These substances are pretty harsh solvents and detergents and can cause allergic reactions and irritate your skin.  But even worse, they have been found in lab studies (mostly done on animals) to cause certain types of cancers and organ toxicity.

WHAT DOES THE FDA THINK ABOUT DEA (DIETHANOLAMINE) AND RELATED INGREDIENTS?

The National Toxicology Program (NTP) completed a study in 1998 that found an association between the topical application of DEA and certain DEA-related ingredients and cancer in laboratory animals.  But because the NTP study did not establish a link between DEA and the risk of cancer in humans, the FDA believes that at the present time there is no reason for consumers to be alarmed based on the use of these substances in cosmetics.

HOW DO I AVOID DEA AND DEA-LIKE COMPOUNDS?

Steer clear of any products with any ingredients containing the letters:  DEA, MEA, or TEA.

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A Clean Skin Care Choice:  Evolve Skin Care

Evolve Clean Skin Care

At Evolution Dermatology we developed our own line of skin care with your skin and body health in mind.

Evolve Skin Care, is a medical-grade skin care product line that combines advanced science with active ingredients to transform your skin.

No Parabens + Plant Based + No Phathates + Cruelty-Free + No Artificial Fragrance + No Formaldehyde + No Artificial Colors + Non-Toxic + Chemical Free + Vegan

Made with the health of your skin in mind. 

Come by our office and we can help you choose which Evolve Skin Care product will be best for you!

Beauty Sleep: The Importance Of Shut-Eye for Your Skin

Beauty Sleep: The Importance Of Shut-Eye for Your Skin

by | Jul 7, 2022 | Ageless skin, Skincare, Sleep

Beauty Sleep: The Importance Of Shut-Eye for Your Skin

WHY IS SLEEP IMPORTANT FOR YOUR SKIN?

If your life is busy and you find yourself always multitasking, this is good news for you! While you are getting some much needed shut-eye, you’re getting plenty accomplished for your skin while you sleep!  When it comes to a healthy routine for your skin, a good night’s sleep may be the most powerful treatment.

At night, your body and skin have precious time to repair and recover. Your skin cells are regenerating while your facial muscles are relaxing. These renewing hours are when your skin has the most time shielded from the exposure to potential UV (sun) damage, environmental stresses and pollutants, and is clean of occlusive makeup or sunscreen. Your skin is simply focused on repairing itself instead of defending itself. Are you giving your skin it’s due time to rest and rejuvenate?

WHAT HAPPENS WITH SKIN CELL PRODUCTION AND REPAIR WHILE I’M SLEEPING?

THE CHANGES IN THESE HORMONES HAVE A BIG IMPACT ON THE HEALTH OF YOUR SKIN:

  • CORTISOL
  • HUMAN GROWTH HORMONE (HGH)
  • MELATONIN

Cortisol is a stress hormone that naturally decreases while you sleep.  This is a good thing because the lower levels allow your skin to regenerate and heal from the day. When you lose out on sleep, your body makes more cortisol which will interfere with your body’s healing process and contribute to inflammation. That’s why it is known as a “stress hormone”! At high levels, cortisol can actually break down collagen. This will accelerate the aging process and hurt the quality of your skin.  

At night, your body makes human growth hormone (HGH), which functions to stimulate skin cell production. So if you are not sleeping like you should, HGH is lower and you lose out on collagen and new cell production. Your skin will be thinner and can result in more noticeable signs of aging and skin laxity.

Most of us know a little about melatonin. It’s a hormone that increases when you are sleeping. But did you know that this also has an impact on your skin? Melatonin is a skin-protecting antioxidant. We need melatonin to help repair damaged skin cells.

If you are skimping out on sleep, these changes in hormones can cause a decrease in cell production and repair and increase in inflammation, which leads to a breakdown of collagen with no new cell growth.  Bottom line: Your skin loses it’s glow and bounce.

WHAT ARE OTHER CHANGES IN MY SKIN IF I’M NOT GETTING ENOUGH SLEEP?

TWO BIG CHANGES THAT HAPPEN WITH DECREASED SHUT-EYE ARE ALTERED BLOOD FLOW IN YOUR SKIN AND INCREASED MOISTURE LOSS.

CHANGES IN BLOOD FLOW:

Blood flow to the skin increases while you snooze, which means you wake to a healthy glow. On the flip side, if you have poor sleep habits, inflammation in the body is increased and this causes capillaries to constrict affecting the flow of nutrients to the skin.

When you’re tired and losing out on sleep, blood doesn’t flow efficiently and your skin will look dull.

INCREASED MOISTURE LOSS:

Toward the end of the day and into the night you are losing the most water from your skin (officially called trans-epidermal water loss). In fact, your skin loses about 25% more water overnight than during the day! However, if you are not sleeping inflammation will occur in the skin, causing an imbalance and more water loss. This will lead to under eye circles, dryness and more visible wrinkles.

Prevent moisture loss by applying a heavier moisturizer (one with hyaluronic acid is best!) before bed to help you wake up with soft, hydrated skin.  I use Epionce Renewal Cream.

WHY DO I GET DARK CIRCLES/PUFFY EYES?

When you’re horizontal at night, fluid naturally wants to pool in the trough under your eyes. Missing out on z’s causes a change in blood flow to your skin making this condition worse. Try sleeping on an extra pillow to keep your head elevated, make sure limit your salt intake after lunchtime, and limit cocktails before bed. Salt and alcohol both encourage swelling.

In the morning, one trick is to dab on an eye gel with caffeine to temporarily tighten the skin.  Or place two soaked green tea bags (these are especially great if you freeze them the night before) under your eyes for about 5 minutes to reduce the puffiness. Better yet, hit the sheets earlier and avoid tired puffy eyes altogether!

CAN THE INCREASED INFLAMMATION CAUSED BY LACK OF SLEEP MAKE OTHER SKIN CONDITIONS WORSE?

YES!

Conditions like:  acne breakouts, seborrheic dermatitis, eczema and psoriasis can flare with lack of sleep.  

Late nights will increase your cortisol levels and put your skin in a pro-inflammatory state. This stress can mess with the protective outer layer of skin that keeps moisture in and bad stuff like bacteria out. The disruption in the skin barrier can lead to skin sensitivity, red inflammation and scale triggering acne breakouts and flares of dermatitis and psoriasis.  

WHAT CAN I DO TO HELP GET SOME Z’S?

HERE ARE 3 THINGS TO KEEP IN MIND WHEN TRYING TO GET A GOOD NIGHT’S SLEEP.

AVOID ALCOHOL WITHIN AN HOUR OR 2 OF GOING TO SLEEP:

Alcohol is known to be a REM sleep inhibitor. The REM stage of sleep is when you are in a deep sleep and when cell regeneration happens. This is the most important stage of sleep for your body to rest and recover.

Alcohol temporarily binds to the GABA receptors in your brain, making you feel relaxed and drowsy. But once this wears off, you can have a rebound effect that is stimulating or even anxiety provoking!  Even though drinking alcohol can make you sleepy, it impacts your quality of sleep.
 

REDUCE BLUE LIGHT EXPOSURE BEFORE BEDTIME:

We all are pretty aware of what blue light is these days. It is the light emitted by light bulbs, your phone, computer and iPad.  So as you read this you are exposed. Even if you dim the brightness on your device, the blue spectrum of light can have an impact on you. Blue light suppresses melatonin production for more than twice as long as other light wavelengths and disrupts your normal circadian rhythm.  So limit your device time to 90 minutes prior to sleepy time.

You can limit your exposure by:

Limiting the blue light spectrum in the evening will help with a good night’s sleep and good skin too!

GO OUT AND GET SOME EXERCISE:

You may be someone who is getting enough exercise each day. This is one of the best ways to make sure you are tired enough to get quality z’s. Exercising releases endorphins that help release and reduce stress. After a day of good exercise, you will be less stressed and more tired and set up for a good night’s sleep.

WHAT IS A GOOD NIGHTTIME SKIN CARE ROUTINE?

If you miss out on those much needed z’s the best way to fight back and keep your skin healthy is to establish a good evening skincare routine.  

LEARN ABOUT WHEN TO APPLY YOUR SKIN CARE PRODUCTS